STACEY ELLICE REYNOLDS (NPI# 1578601415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578601415 |
| Entity Type | Individual |
| Full Name | STACEY ELLICE REYNOLDS |
| Credential | OTRL |
| Practice Address |
40 Broad Street Rd Manakin Sabot VA 23103-2213 |
| Mailing Address |
1509 Wentbridge Rd Richmond VA 23227-4730 |
| Practice Telephone | 8047843514 |
| Practice Fax Number | 8047844514 |
| Mailing Telephone | 4102412140 |
| Mailing Fax Number | 8048280782 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
0119004113 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134542889 | Stacey L Reynolds | Counselor | 400 S Broadway Ste 15, Edmond, OK 73034-3848 | 2014-01-31 |
| 1780143404 | Stacey Reynolds | Social Worker | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2019-03-13 |
| 1407173438 | Stacey Reynolds | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2010-04-30 |
| Street Address |
40 BROAD STREET RD |
| City | MANAKIN SABOT |
| State | VA |
| Zip Code | 23103-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356498281 | Jennifer M Dickerson | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-04 |
| 1407011562 | Mary Suzanne Starseed | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2008-07-28 |
| 1063605665 | Traci Coyle Qureshi | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-08-27 |
| 1255477279 | Carolyn Taylor Huff | Specialist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-29 |
| 1386790525 | Integrated Therapy Services | Clinic/Center | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-27 |
| 1518012376 | Martica Lyn Heusler | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-24 |
| 1316091838 | Laurie Susan Lanning | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-22 |
| 1821149709 | Nicole Jeanette Galletta | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123943 | Lois Hermann Phillips | Optometrist | 9 Gamebird Ct, Manakin Sabot, VA 23103 | 2020-01-17 |
| 1467615336 | Dr.peter Guhl | Optometrist | 50 Broadstreet Road, Manakin Sabot, VA 23103 | 2008-07-09 |
| 1952347122 | Peter Murchie | Dentist | 1606 Hockett Rd, #3, Manakin-sabot, VA 23103 | 2006-06-22 |
| 1659861904 | Callie A. Carter | Physical Therapist | 44 Broad Street Rd, Manakin Sabot, VA 23103 | 2018-05-12 |
| 1154878288 | Erik Lineberry | Physical Therapist | 44 Broad Street Rd, Manakin Sabot, VA 23103 | 2016-09-07 |
| 1063074987 | Mvp Consulting | Nurse Practitioner | 2180 Gum Dr, Manakin Sabot, VA 23103-2033 | 2019-07-01 |
| 1386024503 | Linda Fletcher | Case Manager/Care Coordinator | 686 Rockford Rd, Manakin Sabot, VA 23103-2128 | 2015-06-03 |
| 1043692916 | Family Care Services, LLC | Case Management | 686 Rockford Rd, Manakin Sabot, VA 23103-2128 | 2015-06-26 |
| 1306241575 | Centerville Family Practice, P.C. | Family Medicine | 46 Broad Street Rd, Suite A, Manakin Sabot, VA 23103-2213 | 2014-10-29 |
| 1922187608 | Centerville Cardinal Drug Center Inc | Pharmacy | 46a Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2006-11-03 |
| Find all providers in zip 23103 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356498281 | Jennifer M Dickerson | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-04 |
| 1316091838 | Laurie Susan Lanning | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640550 | Lindsay Cowen | Occupational Therapist | 4775 21st Rd N, Arlington, VA 22207-2207 | 2020-08-18 |
| 1700403375 | Harper Lee Gensler | Occupational Therapist | 8221 Old Courthouse Rd Ste 105, Vienna, VA 22182-3839 | 2020-06-30 |
| 1912536319 | Molly Mitchell Snow | Occupational Therapist | 12836 Pennmardel Ln, Henrico, VA 23233-7684 | 2020-04-07 |
| 1821622556 | Samantha Robson | Occupational Therapist | 14115 Lovers Ln Ste 115, Culpeper, VA 22701-4158 | 2020-03-03 |
| 1275177438 | Annie Rachel Poole | Occupational Therapist | 2301 Columbia Pike, Suite 125, Arlington, VA 22204 | 2019-10-31 |
| 1689233868 | Catherine Saliba Western | Occupational Therapist | 1591 Port Republic Road, Harrisonburg, VA 22801 | 2019-06-11 |
| 1265991665 | Laura Michelle Wood | Occupational Therapist | 3511 Hemingway Rd, Roanoke, VA 24014-6019 | 2019-03-15 |
| 1669940441 | Megan L Allen | Occupational Therapist | 204 Sunrise Bluff Ln, Smithfield, VA 23430-2318 | 2018-11-09 |
| 1083109144 | Thomas Steven Grunwald | Occupational Therapist | 6160 Kempsville Cir Ste 300b, Norfolk, VA 23502-3994 | 2018-06-29 |
| 1083108278 | Charlene Dismaya | Occupational Therapist | 2448 Shipyard Rd, Chesapeake, VA 23323-3905 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
| City | MANAKIN SABOT |
| Zip Code | 23103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.